Organization
OKLAHOMA LIFE ACCESS, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL A. LAWLESS M.D. (PRESIDENT)
(918) 744-2442
Entity
Organization
Contact information
Practice address
7519 S 49TH WEST AVE, TULSA, OK 74131-3402
(918) 477-3790
Mailing address
1819 E 19TH ST, SUITE 410, TULSA, OK 74104-5407
(918) 744-2442
(918) 403-0166
Taxonomy
Speciality
Code
Description
License number
State
2085R0204X
Vascular & Interventional Radiology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200534300A
—
OK
Enumeration date
04/16/2014
Last updated
08/05/2014
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